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BSC 450 CH 4 Notes
BSC 450 CH 4 Notes
Defects in Protein Folding Provide the Molecular Basis for a Wide Range of
Human Genetic Disorders
Protein misfolding is a substantial problem in all cells and can contribute to
the development of serious disease
o Type 2 diabetes, Alzheimer disease, Huntington disease, and
Parkinson disease are all associated with a misfolding mechanism
A soluble protein that is normally secreted from the cell is
secreted in a misfolded state and converted into an insoluble
extracellular amyloid fiber
The diseases are collectively referred to as amyloidosis
Highly ordered and unbranched fibers
High degree of b-sheet structure
B segments are oriented perpendicular to the axis of the
fiber
In some amyloid fibers, the overall structure includes two
layers of b sheet, such as that shown for amyloid-b peptide
o Many proteins can take on the amyloid fibril structure as an
alternative to their normal folded conformations
Most of these proteins have a concentration of aromatic amino
acid residues in a core region of b sheet or a helix
The proteins are secreted in an incompletely folded formation
The core folds into a b sheet before the rest of the protein folds
correctly, and the b sheets from two or more associate to begin
forming an amyloid fibril
The fibril grows in the extracellular space
Other parts of the protein then fold differently, remaining on the
outside of the b-sheet core in the growing fibril
o Because most of the protein molecules fold normally, the onset of
symptoms in the amyloidosis is often very slow
If a person inherits a mutation such as substitution with an aromatic residue
at a position that favors formation of amyloid fibrils, disease symptoms may
being at an earlier age
In eukaryotes, proteins destined for secretion undergo their initial folding in
the ER
o When stress conditions arise, unfolded proteins can accumulate
o Triggers the unfolded protein response (UPR)
The transcriptional regulators that constitute the UPR bring the
various systems into alignment by increasing chaperonin
concentration or decreasing the rate of protein synthesis
o Amyloid aggregates formed before the UPR can come into play, may
be removed
Some are degraded by autophagy
The aggregates are encapsulated in the membrane, and
then degraded with a cytosolic lysosome
o Misfolded proteins can be degraded by a system of proteases called
the ubiquitin-proteasome system
Some amyloidosis are systemic, involving many tissues
o Primary systemic amyloidosis is caused by deposition of fibrils
consisting of misfolded immunoglobin light chains, or fragments of
light chains derived from proteolytic degradation
Mean onset age of 65
Fatigue, hoarseness, swelling, weight loss, death within a year
of diagnosis
Kidney and heart are often most affected
Can also be associated with other types of disease
o Secondary systemic amyloidosis
Wide range of symptoms depending on the organs initially
affected
Fatal within a few years
o More than 80 amyloidosis are associated with mutations in
transthyretin
A variety of mutations in this protein lead to amyloid
deposition concentrated around different tissues, thus producing
different symptoms
Also associated with inherited mutations in the lysosome,
fibrinogen A a chain, and apolipoproteins
Some amyloid diseases are associated with particular organs
o The amyloid-prone protein is generally secreted only be the affected
tissue, and its locally high concentration leads to amyloid deposition
around that tissue
o One common site of deposition is near the pancreatic islet b cells,
responsible for insulin secretion and regulation of glucose metabolism
o With progressive loss of these cells, glucose homeostasis is affected
and eventually the condition matures into type 2 diabetes mellitus
The amyloid deposition diseases that trigger neurodegeneration are a special
class of localized amyloidoses
o Alzheimer disease is associated with extracellular amyloid deposition
by neurons, involving the amyloid-b peptide
o When it is part of the larger protein, the peptide is composed of two a-
helical segments spanning the membrane
o When the external and internal domains are cleaved off by proteases,
the relatively unstable amyloid-b peptide leaves the membrane and
loses it’s a-helical structure
o It can then take the form of two layers of extended parallel b sheets
which can slowly assemble into amyloid fibrils
o Deposits of these amyloid fibers seems to be the primary cause of
Alzheimer’s disease
o A second type of amyloidlike aggregation, involving the protein tau,
also occurs intracellularly in neurons of people with Alzheimer
disease
Several other neurodegenerative conditions involve intracellular aggregation
of misfolded proteins
o Parkinson’s Disease
The misfolded form of the protein a-synuclein aggregates into
spherical filamentous masses called Lewy bodies
o Huntington disease
Involves the proteins huntingtin, which has a long
polyglutamine repeats
In some, this repeat is longer than normal and a more subtle
type of intracellular aggregation occurs
o Symptoms are highly suppressed if expression of the Hsp70 chaperon
is increased
Protein misfolding doesn’t need to lead to amyloid formation to cause
serious disease
o Cystic fibrosis is caused by defects in a membrane-bound protein
called CFTR which acts as a channel for chloride ions
The most common CF causing mutation is the deletion of a Phe
residue at position 508 in CFTR, which causes improper protein
folding
Most of the protein is then degraded and its normal function is
lost
Many of the disease-related mutations in collagen also cause
defective folding
A particularly remarkable kind of protein misfolding is seen in
the prion diseases